中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
20期
450-451
,共2页
输卵管妊娠%开腹手术%腹腔镜手术
輸卵管妊娠%開腹手術%腹腔鏡手術
수란관임신%개복수술%복강경수술
Tubal pregnancy%Laparotomy%Laparoscopy
目的针对开腹手术结合MTX药物与腹腔镜下开窗取胚胎保输卵管结合MTX药物两种方法治疗输卵管妊娠临床疗效的探讨。方法随机挑选从2007年3月至2012年11月来我院治疗输卵管妊娠的患者388例为参考对象。根据行术方式的不同将其分为观察组和对照组，行腹腔镜手术患者为观察组，患者数为198例；行开腹手术患者为对照组，患者数为190例。观察组患者年龄段为19~42岁，其中经产妇68例，初产妇130例，有35例有人流史，怀孕周期32~42周；开腹组年龄20~40岁，其中经产妇49例，初产妇141例，有42人例有人流史，怀孕周期31~42周。两组患者的文化水平、孕周、年龄、停经时间等各项身体指标均无明显差异，具有可比性，无统计学意义（P>0.05)。结果观察组患者术中出血量小于对照组，手术时间短于对照组，术后肛门排气时间、康复周期、手术创口大小等方面的差异明显，有统计学意义，P＜0.05。结论采用腹腔镜手术治疗输卵管妊娠较开腹手术更为有效。其手术成功率高，对患者的身体伤害少，是值得推广的行之有效的治疗方式。
目的針對開腹手術結閤MTX藥物與腹腔鏡下開窗取胚胎保輸卵管結閤MTX藥物兩種方法治療輸卵管妊娠臨床療效的探討。方法隨機挑選從2007年3月至2012年11月來我院治療輸卵管妊娠的患者388例為參攷對象。根據行術方式的不同將其分為觀察組和對照組，行腹腔鏡手術患者為觀察組，患者數為198例；行開腹手術患者為對照組，患者數為190例。觀察組患者年齡段為19~42歲，其中經產婦68例，初產婦130例，有35例有人流史，懷孕週期32~42週；開腹組年齡20~40歲，其中經產婦49例，初產婦141例，有42人例有人流史，懷孕週期31~42週。兩組患者的文化水平、孕週、年齡、停經時間等各項身體指標均無明顯差異，具有可比性，無統計學意義（P>0.05)。結果觀察組患者術中齣血量小于對照組，手術時間短于對照組，術後肛門排氣時間、康複週期、手術創口大小等方麵的差異明顯，有統計學意義，P＜0.05。結論採用腹腔鏡手術治療輸卵管妊娠較開腹手術更為有效。其手術成功率高，對患者的身體傷害少，是值得推廣的行之有效的治療方式。
목적침대개복수술결합MTX약물여복강경하개창취배태보수란관결합MTX약물량충방법치료수란관임신림상료효적탐토。방법수궤도선종2007년3월지2012년11월래아원치료수란관임신적환자388례위삼고대상。근거행술방식적불동장기분위관찰조화대조조，행복강경수술환자위관찰조，환자수위198례；행개복수술환자위대조조，환자수위190례。관찰조환자년령단위19~42세，기중경산부68례，초산부130례，유35례유인류사，부잉주기32~42주；개복조년령20~40세，기중경산부49례，초산부141례，유42인례유인류사，부잉주기31~42주。량조환자적문화수평、잉주、년령、정경시간등각항신체지표균무명현차이，구유가비성，무통계학의의（P>0.05)。결과관찰조환자술중출혈량소우대조조，수술시간단우대조조，술후항문배기시간、강복주기、수술창구대소등방면적차이명현，유통계학의의，P＜0.05。결론채용복강경수술치료수란관임신교개복수술경위유효。기수술성공솔고，대환자적신체상해소，시치득추엄적행지유효적치료방식。
Objective To explore the value of laparotomy with MTX and laparoscopic surgery with MTX of tubal pregnancy. Methods 198 cases of tubal pregnancy treated by laparoscopic surgery with MTX were reviewed retrospectively.190 cases of laparo-tomy with MTX were retrospectively analyzed by reviewing medical literature. We selected 388 patients treated in our hospital from March, 2007 to November, 2012. We divided them into observation group and control group. There are 198 patients in the observation group, 190 patients in the control group. There were no signiifcant difference between the physical indexes of two groups, such as cultural level, gestational age, age, amenorrhea time.The difference between both groups was not signiifcant at all days. Results The difference of hemorrhagic in operation was also signiifcant, the amount of bleeding in the observation group is lesser than control group. Physical recovery of two groups also has signiifcant differences. Conclusions People with tubal pregnancy should choose laparoscopy with MTX, because laparoscopy in treatment of tubal pregnancy is more efifciently, and laparoscopic surgery becomes main therapeutic tool for these patients in our hospital.
